National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 9/3/2021 release of VAERS data:

This is VAERS ID 1408571



Case Details

VAERS ID: 1408571 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW3143 / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Feeling drunk, SARS-CoV-2 test
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CETIRIZINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 virus test negative; Hay fever; Lactation decreased; Suspected COVID-19
Allergies:
Diagnostic Lab Data: Test Date: 20210526; Test Name: COVID-19 virus test; Test Result: Negative ; Comments: No - Negative COVID-19 test
CDC Split Type: GBPFIZER INC2021649739

Write-up: Stomach cramps; Intoxication/ like she was highly intoxicated/ she was swaying and appeared very drunk; This is a spontaneous report from a contactable consumer (patient) received from the regulatory authority; the Regulatory Authority report number is GB-MHRA-WEBCOVID-202106021125574850-QQFNP and the Safety Report Unique Identifier is GB-MHRA-ADR 25404332. A 33-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 01Jun2021 (batch/lot number: ew3143) at 33 years old as 1ST DOSE, SINGLE for COVID-19 immunization. The patient''s medical history included lactation decreased and hay fever, both from an unknown date. The patient was suspected COVID-19 from 25May2021; patient tested no - negative for COVID-19 virus test on 26May2021. The patient was not enrolled in clinical trial. Patient was not pregnant and not currently breastfeeding. Concomitant medication included cetirizine (CETIRIZINE) taken for hay fever from 01Apr2021 to an unspecified stop date. On 01Jun2021, two (2) hours after vaccination, the patient experienced intoxication reported as an hour period that was like she was highly intoxicated. She was swaying and appeared very drunk, this subsided after approximately one (1) hour later. The patient also experienced stomach cramps on an unspecified date. The patient recovered from the event "intoxication/ like she was highly intoxicated/ she was swaying and appeared very drunk" on 01Jun2021. Outcome of stomach cramps was unknown. The events were reported as medically significant. The patient has not tested positive for COVID-19 since having the vaccine. No follow-up attempts are possible. No further information is expected.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1408571


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166